Evidence mapPaperPMID 32602170Full record

Trial reportClinical pharmacology and therapeutics2020

Genetic Variant in CHRNA5 and Response to Varenicline and Combination Nicotine Replacement in a Randomized Placebo-Controlled Trial.

Li-Shiun Chen, Timothy B Baker, J Philip Miller, Michael Bray, Nina Smock, Jingling Chen, Faith Stoneking, Robert C Culverhouse, Nancy L Saccone, Christopher I Amos and 3 more

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical pharmacology and therapeutics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02351167 (Genetically Informed Smoking Cessation Trial), which is not on this map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
1.4field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02351167 phase4completednot on this map

Genetically Informed Smoking Cessation Trial

TypeinterventionalSponsorWashington University School of MedicineRan2015 to 2019Enrolled822ConditionsSmoking CessationArmsCombination NRT (Nicotine patch, Nicotine lozenge), Varenicline, Placebo, Intensive smoking counseling
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Guideline
  2. Nicotine receptor partial agonists for smoking cessation.The Cochrane database of systematic reviews · 2023
    Pooled it
  3. The Promise of Polygenic Risk Prediction in Smoking Cessation: Evidence From Two Treatment Trials.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2022
    Pooled it
  4. Trial
  5. Advances in the Basic Sciences in Thoracic Oncology in the Last 20 Years and Their Translational Impact.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2026
    Review
  6. Genome-Wide Association Study of Varenicline-Aided Smoking Cessation.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Article
  7. Review
  8. Review
  9. Single Nucleotide Polymorphisms WithinCurrent addiction reports · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Review
  18. Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 1 country.

Li-Shiun ChenDepartment of Psychiatry, Washington University School of Medicine, St Louis, Missouri, USA.
Timothy B BakerDivision of General Internal Medicine, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
J Philip MillerDepartment of Psychiatry, Washington University School of Medicine, St Louis, Missouri, USA.
Michael BrayDepartment of Psychiatry, Washington University School of Medicine, St Louis, Missouri, USA.
Nina SmockDepartment of Psychiatry, Washington University School of Medicine, St Louis, Missouri, USA.
Jingling ChenDepartment of Psychiatry, Washington University School of Medicine, St Louis, Missouri, USA.
Faith StonekingDepartment of Psychiatry, Washington University School of Medicine, St Louis, Missouri, USA.
Robert C CulverhouseJohn T. Milliken Department of Medicine, Washington University School of Medicine, St Louis, Missouri, USA.
Nancy L SacconeDepartment of Genetics, Washington University School of Medicine, St Louis, Missouri, USA.
Christopher I AmosDepartment of Biomedical Data Science, Geisel School of Medicine, Dartmouth College, Hanover, New Hampshire, USA.
Robert M CarneyDepartment of Psychiatry, Washington University School of Medicine, St Louis, Missouri, USA.
Douglas E JorenbyDivision of General Internal Medicine, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
Laura J BierutDepartment of Psychiatry, Washington University School of Medicine, St Louis, Missouri, USA.
Washington University in St. Louis · USUniversity of Wisconsin–Madison · USBarnes-Jewish Hospital · USDartmouth College · USJewish Hospital · US

Funding

Washington University Center for Cellular ImagingP30CA091842 · WASHINGTON UNIVERSITY · 2001 to 2025
$19.4M
Washington University Institute of Clinical and Translational SciencesUL1TR002345 · WASHINGTON UNIVERSITY · 2025 to 2025
$9.3M
IMPROVMENT OF INSTITUTIONAL ANIMAL RESOURCESG20RR017048 · UNIVERSITY OF TEXAS MD ANDERSON CAN CTR · 2002 to 2002
$622k
NCATS NIH HHS UL1 TR002345NCI NIH HHS P30 CA091842NCI NIH HHS U19 CA203654NCRR NIH HHS G20 RR017048NHLBI NIH HHS R01 HL109031NIDA NIH HHS R01 DA038076
6 · The paper itself

Abstract

It is unclear if genetic variants affect smoking cessation treatment response. This study tested whether variants in the cholinergic receptor nicotinic alpha 5 subunit (CHRNA5) predict response to smoking cessation medication by directly comparing the two most effective smoking cessation pharmacotherapies. In this genotype-stratified randomized, double-blind, placebo-controlled clinical trial (May 2015-August 2019 in St Louis, Missouri), smokers were randomized by genotype in blocks of six (1:1:1 ratio) to three conditions: 12 weeks of placebo (n = 273), combination nicotine patch and lozenge (combination nicotine replacement therapy, cNRT, n = 275), or varenicline (n = 274). All participants received counseling and were followed for 12 months. The primary end point was biochemically verified 7-day point prevalence abstinence at the end of treatment (EOT, week 12). Trial registration and eligibility criteria are on clinicaltrials.gov (https://clinicaltrials.gov/) (NCT02351167). We conducted the genetic analyses separately for 516 European ancestry (EA) smokers and 306 non-EA smokers (including 270 African American smokers). In African American smokers, there was a genotype-by-treatment interaction for EOT abstinence (χ

Indexed as

Pharmacogenomic VariantsSmokersSmoking CessationTobacco Use Cessation DevicesAdministration, CutaneousAdministration, OralAdultDouble-Blind MethodDrug Therapy, CombinationFemaleHumansMaleMiddle AgedMissouriNerve Tissue ProteinsNicotineCHRNA5 protein, humanNerve Tissue ProteinsNicotineNicotinic AgonistsReceptors, NicotinicSmoking Cessation AgentsVarenicline

Identifiers

PMID32602170
PMCPMC7993015
OpenAlexW3038584095

What Socratic holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.